NCQA, HEDIS report cards!

HEDIS & Performance Measurement

Measuring Performance

The Healthcare Effectiveness Data and Information Set (HEDIS) is a tool used by more than 90 percent of America’s health plans to measure performance on important dimensions of care and service. Altogether, HEDIS consists of 75 measures across 8 domains of care. Because so many plans collect HEDIS data, and because the measures are so specifically defined, HEDIS makes it possible to compare the performance of health plans on an “apples-to-apples” basis.

What is HEDIS?      How Measures are developed

HEDIS Technical Resources

 HEDIS 2014 HEDIS 2013 HEDIS 2012

 HEDIS Archives

 Code Conversion and Supplemental Data for HEDIS 2014 

HEDIS Data Submission (HOQ and IDSS) HEDIS and ICD-10 Information

 HEDIS Users Group (HUG) Wellness and Health Promotion (WHP)

Disease Management (DM)

NQF-Endorsed Measures

NQF-endorsed consensus standards for ambulatory care, representing an initial set of ambulatory care voluntary consensus standards, conducted under “Phase 2″ of NQF’s ambulatory care work.

List of Measures

Specifications

Other Measurement Activities

Find out more regarding activities the Quality Measurement staff has been involved in, including submitting measures for NQF Endorsement and working with CMS on Physician Specialty measures. This section also includes information about the California Pay for Performance (P4P) program and the CHIPRA Core Set of Measures.

Pay for Performance

Other Measurement Activities

Relative Resource Use

CHIPRA Core Set Measures

ACO Measures Pilot Project

Reducing Health Care Disparities

NCQA recognizes innovation in multicultural health care annually. See how you can support this important effort to combat health care disparities.

Atul Gawande and NCQA

 

The noted surgeon and author’s thoughts on NCQA and quality measurement.

 

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